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目的通过气管插管全身麻醉和喉罩全身麻醉用于乳腺癌手术的观察比较,说明喉罩全身麻醉在乳腺癌根治术中是安全有效可行的。方法 40例美国麻醉师协会(ASA)Ⅰ~Ⅱ级乳腺癌患者随机分为喉罩组(L组)和气管插管组(T组),每组20例。结果 L组插管及拔管时平均动脉压(MAP)、心率(HR)变化明显低于T组(P<0.05)。L组术后咽喉痛,声音嘶哑发生率低于T组(P<0.05)。喉罩组较气管插管组血流动力学稳定,气道并发症少。结论喉罩用于全身麻醉乳腺癌根治术,操作简单,对呼吸道的刺激较小,通气安全可靠,血流动力学稳定,且术后并发症较少,值得推广应用。
Objective Through tracheal intubation general anesthesia and laryngeal mask general anesthesia for breast cancer surgery compared to show that laryngeal mask general anesthesia in breast cancer radical surgery is safe and effective. Methods Forty ASA patients with stage Ⅰ ~ Ⅱ breast cancer were randomly divided into laryngeal mask group (L group) and tracheal intubation group (T group), with 20 cases in each group. Results The mean arterial pressure (MAP) and heart rate (HR) in group L during intubation and extubation were significantly lower than those in group T (P <0.05). The incidence of postoperative sore throat and hoarseness in group L was lower than that in group T (P <0.05). Laryngeal mask group than the tracheal intubation group hemodynamically stable, less airway complications. Conclusions Laryngeal mask is used for radical mastectomy of general anesthesia, which has the advantages of simple operation, less irritation to the respiratory tract, safe and reliable ventilation, stable hemodynamics and less postoperative complications, which is worth popularizing and applying.